Harrison, Walter Douglas

Harrison, Walter Douglas is an individual health care provider with primary practice located at 250 Nash Medical Arts Mall Suite A, Rocky Mount NC 27804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Harrison, Walter Douglas can be contacted via phone (252) 937-0227.

Contact Information

Primary practice address
250 Nash Medical Arts Mall Suite A Rocky Mount NC 27804
Phone: (252) 937-0227
Fax: (252) 937-3105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34343 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 34343 North Carolina

Profile Details

NPI number 1144214883
LBN Legal business name Harrison, Walter Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Mar 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144214883 NPPES
North Carolina Other 10456 BCBSNC
North Carolina Other 42423 BCBSNC
North Carolina Other 6109936 BCBSNC
North Carolina Other 20024902 BCBSNC
North Carolina MEDICAID 8940156 BCBSNC

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